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Teamwork in Healthcare: Key Discoveries Enabling Safer, High-Quality Care

机译：Healthcare的团队合作：关键发现，使更安全，高质量的护理

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摘要

Few industries match the scale of health care. In the United States alone, an estimated 85% of the population has at least 1 health care encounter annually and at least one quarter of these people experience 4 to 9 encounters annually. A single visit requires collaboration among a multidisciplinary group of clinicians, administrative staff, patients, and their loved ones. Multiple visits often occur across different clinicians working in different organizations. Ineffective care coordination and the underlying suboptimal teamwork processes are a public health issue. Health care delivery systems exemplify complex organizations operating under high stakes in dynamic policy and regulatory environments. The coordination and delivery of safe, high-quality care demands reliable teamwork and collaboration within, as well as across, organizational, disciplinary, technical, and cultural boundaries. In this review, we synthesize the evidence examining teams and teamwork in health care delivery settings in order to characterize the current state of the science and to highlight gaps in which studies can further illuminate our evidence-based understanding of teamwork and collaboration. Specifically, we highlight evidence concerning (a) the relationship between teamwork and multilevel outcomes, (b) effective teamwork behaviors, (c) competencies (i.e., knowledge, skills, and attitudes) underlying effective teamwork in the health professions, (d) teamwork interventions, (e) team performance measurement strategies, and (f) the critical role context plays in shaping teamwork and collaboration in practice. We also distill potential avenues for future research and highlight opportunities to understand the translation, dissemination, and implementation of evidence-based teamwork principles into practice.
机译：很少有行业与医疗保健规模相匹配。仅在美国，每年估计的85％的人口至少有1个医疗保健遭遇，每年至少有四分之一的遇到4到9个遭遇。单一访问需要在临床医生，行政人员，患者和亲人的多学科群体中进行合作。在不同组织中工作的不同临床医生中经常发生多次访问。无效的护理协调和潜在的次优与团队合作流程是一个公共卫生问题。卫生保健交付系统举例说明了在动态政策和监管环境下在高股份下运行的复杂组织。安全，高质量护理的协调和交付需求在内部，组织，纪律，技术和文化界限内的可靠团队合作和合作。在这篇综述中，我们综合了卫生保健交付环境中的证据审查团队和团队合作，以表征当前的科学状态，并突出哪些研究可以进一步阐明我们对团队合作的证据理解的差距。具体而言，我们介绍了关于（a）团队合作和多级结果的关系的证据，（b）有效的团队合作行为，（c）卫生专业有效团队合作的潜在合作（即知识，技能和态度），（d）团队合作干预措施，（e）团队绩效测量策略，（f）关键角色背景在实践中塑造团队合作和合作。我们还为未来的研究蒸馏出潜在的途径，并突出了理解基于循证的团队合作原则的翻译，传播和实施的机会。

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  • 来源
    《The American psychologist》 |2018年第4期|共18页
  • 作者

    Rosen Michael A.; DiazGranados Deborah; Dietz Aaron S.; Benishek Lauren E.; Thompson David; Pronovost Peter J.; Weaver Sallie J.;

  • 作者单位

    Johns Hopkins Univ Sch Med Armstrong Inst Patient Safety &

    Qual Dept Anesthesiol &

    Crit Care Med Baltimore MD USA;

    Virginia Commonwealth Univ Sch Med Off Assessment &

    Evaluat Studies Richmond VA USA;

    Johns Hopkins Univ Sch Med Armstrong Inst Patient Safety &

    Qual Dept Anesthesiol &

    Crit Care Med Baltimore MD USA;

    Johns Hopkins Univ Sch Med Armstrong Inst Patient Safety &

    Qual Dept Anesthesiol &

    Crit Care Med Baltimore MD USA;

    Johns Hopkins Univ Sch Med Armstrong Inst Patient Safety &

    Qual Dept Anesthesiol &

    Crit Care Med Baltimore MD USA;

    Johns Hopkins Univ Sch Med Armstrong Inst Patient Safety &

    Qual Dept Anesthesiol &

    Crit Care Med Baltimore MD USA;

    NCI Healthcare Delivery Res Program Hlth Syst &

    Intervent Res Branch Rockville MD USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 心理学;
  • 关键词

    teamwork; health care; collaboration; health systems;

    机译：团队合作;医疗保健;合作;卫生系统;

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